Retroperitoneal extra-adrenal ganglioneuroma involving the infrahepatic inferior vena cava, celiac axis and superior mesenteric artery: A case report

International Journal of Surgery Case Reports
K VasiliadisC Makridis

Abstract

Ganglioneuromas are rare benign neoplasms arising from the sympathetic neuroendocrine system. These tumors usually occur in the abdomen and tend to grow around major blood vessels making often their complete excision challenging and demanding. The authors present the challenging surgical management of a sizable retroperitoneal extra-adrenal ganglioneuroma involving the infrahepatic inferior vena cava, portal triad, celiac axis and superior mesenteric artery in a 23-year-old female patient. The tumor was safely and completely excised in toto with preservation of all neighboring vital anatomical structures using a midi laparotomy access. Ganglioneuromas should be included in the differential diagnosis of any retroperitoneal mass. Their management involves total surgical excision however, in some instances; it can be challenging and demanding because of their tendency to engage neighboring vital anatomical structures. A surgical strategy including meticulous operative dissection guided by the quality principles of surgical oncology although challenging and demanding can result to a safe and complete tumor excision, which is directly correlated with an improved patients' postoperative outcome and excellent prognosis.

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Citations

Dec 17, 2014·Journal of Endocrinological Investigation·C SpinelliS Strambi
Sep 27, 2016·Case Reports in Surgery·Santosh KumarAbhishek Chandna
Aug 18, 2018·ANZ Journal of Surgery·Tommy Y CaiMichael Crawford
May 26, 2017·Updates in Surgery·Giovanni TaffurelliFrancesco Minni
Feb 16, 2021·Vascular and Endovascular Surgery·Kateřina LawriePeter Baláž
May 1, 2021·Journal of Surgical Case Reports·Christine KoraImane Skiker

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